Myung Jin Lee; Sung Keun Sohn; Kyu Yeol Lee; Sung Soo Kim; Min Soo Kang; Hyeon Jun Kim; Sang Kyu Sun

doi:10.12671/jkfs.2010.23.3.303

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Original Article
Open Reduction and Internal Fixation with AO Calcaneal Plate for Displaced Intra-articular Calcaneal Fracture: Myung Jin Lee, M.D., Sung Keun Sohn, M.D., Kyu Yeol Lee, M.D., Sung Soo Kim, M.D., Min Soo Kang, M.D., Hyeon Jun Kim, M.D, Sang Kyu Sun, M.D.; Journal of the Korean Fracture Society 2010;23(3):303-309.
DOI: https://doi.org/10.12671/jkfs.2010.23.3.303
Published online: July 31, 2010

Department of Orthopedic Surgery, College of Medicine, Dong-A University, Busan, Korea.

^*Department of Orthopedic Surgery, Dong-Eui Medical Center, Busan, Korea.

Address reprint requests to: Hyeon Jun Kim, M.D. Department of Orthopedic Surgery, College of Medicine, Dong-A University, 1, Dongdaesin-dong 3-ga, Seo-gu, Busan 602-715, Korea. Tel: 82-51-240-5167, Fax: 82-51-254-6757, campbellkim@naver.com

• Received: November 19, 2009 • Revised: March 4, 2010 • Accepted: April 7, 2010

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Abstract
REFERENCES

Abstract

Purpose
To evaluate the surgical outcomes of open reduction and internal fixation of AO calcaneal plate in displaced intra-articular fractures of the calcaneus.
Materials and Methods
From January 2004 to July 2007, 25 patients with 27 displaced intra-articular calcaneal fractures were treated by open reduction and internal fixation using the AO calcaneal plate. Preoperative, postoperative evaluations and a follow-up after 1 year were done radiologically by the Böhler angle, Gissane angle, heel height and width among all patients. Their functional status was assessed by means of the Maryland foot score.
Results
The mean Böhler angle, Gissane angle, heel height and width were restored comparing with preoperative data. However, in Sanders type IV, some losses of reduction occurred at 1 year follow-up (p<0.05). The mean Maryland foot scores were 85 points in type II, 82 points in type III and 63 points in type IV. Sanders types significantly affected the clinical results (p<0.05).
Conclusion
The AO calcaneal plate fixation using extensile L-shpaed lateral approach shows satisfactory radiologic and clinical results in the treatment of displaced intra-articular calcaneal fractures.
Key words: Calcaneus, Intra-articular fracture, Internal fixation, AO calcaneal plate

REFERENCES

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Figure 1

A 21-year-old female patient sustained left intra-articular calcaneal fracture by slip down.

(A) Preoperative X-ray shows tongue type intra-articular calcaneal fracture.

(B) Preoperative axial and sagittal CT scans show Sanders type IIb calcaneal fracture.

(C) Postoperative X-ray shows restoration of Böhler angle and heel width.

(D) At follow-up of 13months, X-ray shows no subtalar joint arthritis.

Figure 2

A 45-year-old male patient sustained right open comminuted intra-articular calcaneus fracture by fall down from 6 meter height.

(A) Preoperative X-ray shows joint depression type intra-articular calcaneal fracture with negative Böhler angle.

(B) Preoperative semicoronal and 3D CT scan shows Sanders type IV calcaneal fracture.

(C) Postoperative X-ray shows restoration of Böhler angle and stable fixation.

(D) Postoperative X-ray shows varus change of heel and malunion of calcaneus and losses of corrections.

Table 1

Summary of radiologic parameters

Table 2

The relationship between Sanders type and Maryland foot score (Linear by linear association)

Table 3

The relationship between preoperative Böhler angle and Maryland foot score (Fisher's exact test)

Table 4

The relationship between associated injury and Maryland foot score (Fisher's exact test)

Table 5

The relationship between financial compensation and Maryland foot score (Fisher's exact test)

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

Surgical Treatment of Calcaneal Fractures of Sanders Type II and III by A Minimally Invasive Technique with 6.5 mm Cancellous Screw
Yong Seung Oh, Kyung Ho Lee, Jung Ho Kim, Myoung Jin Lee
Journal of Korean Foot and Ankle Society.2019; 23(3): 116. CrossRef
Usefulness of Treatment with 6.5 mm Cancellous Screw and Steinmann Pin Fixation for Calcaneal Joint Depression Fracture
Gi-Soo Lee, Chan Kang, Deuk-Soo Hwang, Chang-Kyun Noh, Gi-Young Lee
Journal of Korean Foot and Ankle Society.2015; 19(1): 11. CrossRef

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Open Reduction and Internal Fixation with AO Calcaneal Plate for Displaced Intra-articular Calcaneal Fracture

J Korean Fract Soc. 2010;23(3):303-309. Published online July 31, 2010

DOI: https://doi.org/10.12671/jkfs.2010.23.3.303

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Open Reduction and Internal Fixation with AO Calcaneal Plate for Displaced Intra-articular Calcaneal Fracture

Figure 1 A 21-year-old female patient sustained left intra-articular calcaneal fracture by slip down. (A) Preoperative X-ray shows tongue type intra-articular calcaneal fracture. (B) Preoperative axial and sagittal CT scans show Sanders type IIb calcaneal fracture. (C) Postoperative X-ray shows restoration of Böhler angle and heel width. (D) At follow-up of 13months, X-ray shows no subtalar joint arthritis.

Figure 2 A 45-year-old male patient sustained right open comminuted intra-articular calcaneus fracture by fall down from 6 meter height. (A) Preoperative X-ray shows joint depression type intra-articular calcaneal fracture with negative Böhler angle. (B) Preoperative semicoronal and 3D CT scan shows Sanders type IV calcaneal fracture. (C) Postoperative X-ray shows restoration of Böhler angle and stable fixation. (D) Postoperative X-ray shows varus change of heel and malunion of calcaneus and losses of corrections.

Figure 1

Figure 2

Open Reduction and Internal Fixation with AO Calcaneal Plate for Displaced Intra-articular Calcaneal Fracture

Table 1

Summary of radiologic parameters

Table 2

The relationship between Sanders type and Maryland foot score (Linear by linear association)

Table 3

The relationship between preoperative Böhler angle and Maryland foot score (Fisher's exact test)

Table 4

The relationship between associated injury and Maryland foot score (Fisher's exact test)

Table 5

The relationship between financial compensation and Maryland foot score (Fisher's exact test)

Table 1 Summary of radiologic parameters

Table 2 The relationship between Sanders type and Maryland foot score (Linear by linear association)

Table 3 The relationship between preoperative Böhler angle and Maryland foot score (Fisher's exact test)

Table 4 The relationship between associated injury and Maryland foot score (Fisher's exact test)

Table 5 The relationship between financial compensation and Maryland foot score (Fisher's exact test)